Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02873 | Date 07/01/2019 |
| Token No | SM/18-19/6412 07/01/2019 | Serial | 066 Last Visit: 07/01/2019 |
| Patient Name | Mr. SANTOSH KR. UPADHAYAY | Contact No | 9733987913 |
| Address | 10 R B C ROAD,RISHRA | Age | 33 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 180/100 mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||